Fields marked with * are mandatory. All other fields are optional and do not need to be filled in.

Please enter your telephone and mobile number separately with the country code (+49 for Germany) and the phone number.

If you would like to book an appointment for more than one animal, please first make the booking for just one animal. Once you have completed your appointment booking, you will then have the opportunity to book appointments for additional animals.

Consent to the Storage and Use of Personal Data

For the proper treatment of your animals and the corresponding billing, it is necessary for us to store certain personal data. We therefore ask for your consent to the storage and use of your data as set out below.

As the owner of the animal(s), I consent to the veterinary practice storing and using the following data for the purpose of providing the best possible care:

• my address,
• my contact details (e.g. telephone number, email address),
• data relating to the treatment of my animal(s), and
• information regarding medical treatments provided and medications administered.

I consent to my data being disclosed, where necessary, to:

• external laboratories,
• external service providers required for billing purposes (e.g. billing and collection agencies),
• pet registration databases (e.g. TASSO),
• other veterinary practices in the event of a referral, and
• external service providers for the purpose of communicating with the veterinary practice.

Any disclosure of my data to other third parties will otherwise only take place within the framework permitted by law and, where required, only with my renewed consent.

I consent to:

• being reminded by the veterinary practice of upcoming vaccinations for my animal(s), and
• receiving current information from the veterinary practice.

I may request information at any time about the extent and nature of the personal data stored about me.

I have been informed that this consent is given voluntarily and may be withdrawn by me at any time. In the event of withdrawal, any personal data that is not subject to statutory retention requirements will be deleted.

I hereby confirm that I am the owner and legal keeper of the animal and, as such, am authorised to enter into an agreement for the provision of any necessary examinations, treatments and surgical procedures. I further confirm that I am willing and able to pay all costs arising from such examinations, treatments and procedures.

I declare that, at the time of making this declaration, I am not subject to any court-supervised debt or insolvency proceedings.

If I am not the owner or legal keeper of the animal, I confirm that I am acting on the express authority of the animal’s owner. If no such authorisation exists or if the owner disputes having granted such authorisation, I hereby agree to be personally liable for all costs arising from the examination and treatment of the animal.

Where necessary for the purpose of establishing a diagnosis, I authorise you to commission services provided by third parties, including laboratory tests and similar diagnostic services, in my name and at my expense.

I hereby confirm that the information I have provided is accurate and complete. I instruct and authorise you to examine and/or treat my animal and confirm that I am duly authorised to give such instruction and consent.

I acknowledge that, following the examination of my animal, I am required to pay any treatment costs incurred by cash, debit card or credit card. Any subsequent or follow-up treatments shall likewise be subject to the terms of this agreement.

By signing this document, I consent to the treatment agreement and to the data protection consent declaration set out herein, insofar as the processing of my personal data is carried out for the purposes specified therein.